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Michael S. Barr, MD, MBA, FACP

Former Senior Vice President, Division of Medical Practice, Professionalism & Quality, American College of Physicians

We’re getting close to the January 1, 2014 Stage 2 MU start – and so far, not a word from CMS or ONC about any changes to MU 2 despite major concerns expressed by several organizations (see post from October 11th). There are several major issues with the Medicare EHR Incentive Program: With less than…

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The Centers for Medicare & Medicaid Services has an “interactive” guide to alert eligible professionals about the potential for penalties for the following programs: 2013 eRx program 2013 Meaningful Use (EHR Incentive) Program 2013 Physician Quality Reporting System for individuals and groups of <100 2013 Physician Quality Reporting System for groups >100 If you’re confused…

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I just received this update via email regarding PQRS: CMS will extend the registration period for the Physician Quality Reporting System (PQRS) administrative claims-based reporting option and the PQRS Group Practice Reporting Option (GPRO) to October 18, 2013 (from 10/15/13) to allow providers additional time to register for 2013. This day is the: Last day…

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John Halamaka, co-chair of the Health IT Standards Committee and CIO at Beth Israel Deaconess Medical Center offered some advice to the next National Coordinator on his blog, Life as a Healthcare CIO. Here are his general recommendations: ICD-10: Consider voluntary transactions for October 2014 and provide a 6 month grace period before enforcing the…

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Instead of a blog, Written one word at a time, I offer these MU observations, Written in rhyme. While I tried to be thorough, There’s much more I could say. For now this is it… Until another day. On the March Towards MU Stage 2 The day we have dreaded, Is where we are headed….

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This week, JAMA Internal Medicine published interesting original research by Dr. David Grande et al entitled “Public Preferences About Secondary Use of Electronic Health Information” (subscription required). The researchers used conjoint analysis to determine the patients’ preferences in regards to sharing personal health information in several different scenarios. The scenarios elicited preferences pertaining to sharing…

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As the deadline for Stage 2 of Meaningful Use starts closing in, there has been more chatter and discussion about whether eligible professionals and hospitals are ready. On one side of the argument is that a delay in MU Stage 2 would slow the introduction of some important patient engagement features/functions as well as delay…

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This article, written by ACP President Molly Cooke, was originally published in the ACP Internist and is reprinted here with permission of the editor. From the July/August ACP Internist, copyright © 2013 by the American College of Physicians By Molly Cooke, MD, FACP I have been using my facility’s current electronic health record (EHR) for…

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A study reported in Medicare and Medicaid Research & Review and written by Julia Adler-Milstein, Claudia Salzberg, Calvin Franz, E. John Orav, and David Westfall Bates, examined the impact of ambulatory EHRs on the cost of care for patients (as assessed by Medicaid claims) in three communities involved in the Massachusetts eHealth Collaborative pilot communities….

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To be honest, the first time I heard that the EHR Association (EHRA) and its member companies were developing a code of conduct, I couldn’t help but think about the Pirate’s Code from Pirates of the Caribbean. However, during a meeting at HIMSS 2013, the EHRA invited stakeholders to offer comments on an earlier draft…

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Bringing Joy Back to Practice – PhysBizTech (Kearns, May 29) report on a paper published in the Annals of Family Medicine entitled, “In Search of Joy in Practice: A Report of 23 High-Functioning Primary Care Practices.” The authors conclude that, “Our observations suggest that a shift from a physician-centric model of work distribution and responsibility…

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